News (Updated August 9, 2009)

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Ambitious New Strategies Proposed For AIDS Vaccine Research

ScienceDaily (Aug. 9, 2009) — Researchers at the Yerkes National Primate Research Center, Emory University, believe conventional vaccine strategies should not be the only avenue explored in the development of an effective AIDS vaccine. Based on studying simian immunodeficiency viruses (SIVs) in African nonhuman primates, they propose an additional new approach to the AIDS vaccine research agenda in a commentary featured in the August issue of Nature Medicine. Their recommendations outline specific research priorities and describe how each may lead to a novel "out of the box" approach for developing an AIDS vaccine.

"Developing an effective AIDS vaccine has eluded scientists because the virus is tricky," says Guido Silvestri, MD, a Yerkes affiliate scientist and director of clinical virology at the University of Pennsylvania School of Medicine and lead author of the commentary. Silvestri, along with co-author James Else, DVM, associate director for veterinary resources at Yerkes, writes, "Over 25 years after the discovery of HIV as the etiological agent of AIDS, no effective vaccine for the disease is available."

Most vaccines are based on conventional strategies that work by triggering the body's immune system to produce antibodies or killer T cells against the invading organism. The AIDS virus, however, attacks the immune system, leaving it handicapped and unable to mount an immune response. Therefore, conventionally designed AIDS vaccines that have been clinically assessed to date have failed to protect vaccinated individuals from HIV transmission or disease progression. This has been demonstrated in two large-scale clinical trials aimed, respectively, at eliciting HIV specific-antibodies to neutralize the virus and stimulating the immune system's "killer T-cells" to target the virus.

"To put it another way, a conventional vaccine strategy can be compared to using military might to destroy an enemy (in this case, the virus). A less conventional strategy could be to persuade the enemy not to attack you anymore," Silvestri explains. Alternative strategies may include development of AIDS vaccines that make infected individuals resistant to disease progression or resistant to the virus by reducing the number of cells the virus can infect.

Silvestri and Else propose that lessons learned from studying SIVs in their natural nonhuman primate hosts may provide a path to an effective AIDS vaccine. SIVs are found exclusively in African nonhuman primate species and represent the original source of human immunodeficiency viruses (HIV-1 and HIV-2). More than 40 species of African monkeys are infected in the wild with SIVs. Yet, virtually none with the exception of chimpanzees progresses to HIV/AIDS or gets sick. Evolution has enabled them to adapt to SIVs and co-exist peacefully with chronic infection.

"Nature is giving us a message," says Silvestri. "Figure out how these monkeys can deal with the virus, and then maybe you can get humans to do the same thing." In particular, Silvestri notes additional studies of sooty managbeys – a medium–sized African monkey – are critical for the AIDS vaccine effort and understanding why SIV infection does not progress to HIV/AIDS. SIV-infected sooty mangabeys develop a high viral load that does not increase their risk for developing AIDS. Additionally, the SIV virus is rarely transmitted from mothers to babies.

Silvestri also notes that with its large colonies of uninfected and naturally infected sooty mangabeys, "Yerkes has a unique resource for AIDS vaccine research and every effort needs to be made to preserve and expand this colony of animals."

For nearly eight decades, the Yerkes National Primate Research Center , Emory University , has been dedicated to conducting essential basic science and translational research to advance scientific understanding and to improve the health and well-being of humans and nonhuman primates. Today, the center, as one of only eight National-Institutes of Health-funded national primate research centers, provides leadership, training and resources to foster scientific creativity, collaboration and discoveries. Yerkes-based research is grounded in scientific integrity, expert knowledge, respect for colleagues, and open exchange of ideas and compassionate quality animal care.

Within the fields of microbiology, immunology, neuroscience and psychobiology, the center's research programs are seeking ways to: develop vaccines for infectious and noninfectious diseases, such as AIDS and Alzheimer's disease; treat cocaine addiction; interpret brain activity through imaging; increase understanding of progressive illnesses such as Parkinson's and Alzheimer's; unlock the secrets of memory; determine behavioral effects of hormone replacement therapy; address vision disorders; and advance knowledge about the evolutionary links between biology and behavior.

 

HIV Vaccine Prototype Shot Down by Cook County

Updated: Wednesday, 05 Aug 2009, 10:57 PM CDT
Published : Wednesday, 05 Aug 2009, 7:44 PM CDT

WFLD - Jeff Goldblatt

Chicago - FOX CHICAGO EXCLUSIVE: If there were a front line in the battle against HIV in Chicago , it might be the hard scrabble streets of the West Side , where a store-front clinic called the Gift House offers HIV testing to an African American client base.

The majority of tests there come back HIV positive, according to Executive Director Bruce Jackson. “Out of all the diseases, HIV has the worst stigma. It needs to be gone.”

Since the start of the HIV/AIDS epidemic in the late '80s, the disease has killed nearly 600,000 Americans, including 12,000 Chicagoans.

Medication can help mitigate the symptoms, but health experts concur it’s a costly way to manage a chronic, but now treatable, disease. That’s a significant factor as to why the pharmaceutical industry has spent the better part of the last two decades trying to develop a vaccine to wipe out HIV.

There hasn't been much press coverage about this quest, because very few human trials have made it past the early testing phase.

"Anyone who has studied that arena knows there have been a number of failures," said Bob McNally President and CEO of Geovax , a biotech firm based in Atlanta , Georgia . Geovax is now trying to gain approval from the Food and Drug Administration to move two HIV vaccines to the marketplace.

The first is a therapeutic vaccine administered to ward off full-blown AIDS. The other is a preventative vaccine given to uninfected patients, similar to the application of vaccines for measles and rubella. When asked whether the vaccine might be the “magic antidote,” McNally said, “We don't know that yet. I think that's what we're trying to find out."

Fox Chicago has learned Geovax, because of a large Chicago investor base, wanted to partner with the Cook County Health and Hospitals System (CCHHS) for a set of vaccine trials on local volunteers.

There was a letter of understanding signed June 15, 2009 by CEO of CCHHS, William Foley, Cook County Board President Todd Stroger and County Commissioner John Daley, who also serves as the President of the CORE Foundation .

The Foundation is the public/private fundraising arm of the Ruth M. Rothstein CORE Center (CORE), which is one of the nation's larger research and outpatient HIV facilities.

The preliminary proposal, obtained exclusively by Fox Chicago, called for a small trial to take place at CORE later this year on Geovax's therapeutic vaccine, with possible future tests of the preventative vaccine there.

"Geovax really offers us some hope,” said Stroger, who spearheaded the push to bring Geovax to CORE.

He says the vaccine trials fit the mission of the federally funded center. "We see 1/3 of the AIDS patients in Cook County , so the Core Center is a real busy place. We're really just giving people an opportunity to make a choice."

But barely a week later, the CORE Foundation board made its own choice on this. In a letter obtained by Fox Chicago, the board terminated its agreement with Geovax to start discussions on vaccine trials. (See attached link)

"Everyone thinks their kids look good, no one thinks their kids are ugly, right? Geovax, of course, thinks it's great. But not the outside experts," said Dr. Robert Weinstein, Chief Operating Officer of CORE.

Weinstein says CORE consulted the nation's foremost medical experts in HIV/AIDS research before turning down Geovax. He calls the vaccines medically risky, especially the therapeutic version, which has yet to be tested in humans. "We didn't think this was something we wanted to give to our paitent population. It doesnt mean Geovax isn't a very good company, it doesn't mean their scientists aren't great scientists, but based on our vetting with people who are not part of Geovax, we got no encouragement to go ahead."

Geovax stands behind the safety of its product, and notes that tests on monkeys at Emory's Atlanta University demonstrate its therapeutic vaccine kept the HIV virus in check.

And its preventative vaccine is just one of a handful supported by the federally-backed HIV Vaccine Trials Network to merit a second phase of human testing. “We just want to give it a chance,” said McNally.

Stroger suspects it's politics and not medicine that torpedoed Geovax at CORE.

Privately, supporters of the partnership with CORE, said the hierarchy of the Cook County Health and Hospitals System doesn't want to be upstaged by a progressive medical pitch from President Stroger.

"Hopefully, we can find a cure for AIDS, now sometimes things work out and you don't find what you're looking for, but to dismiss it outright is almost criminal," said Stroger.

For more than a decade, the Stroger family controlled the hospital system, with the President's Office responsible for oversight. The flagship of CCHHS, the John H Stroger Jr. Hospital , bears the name of President Stroger’s father, who served from 1994 until 2006 as the first African-American president of the County Board of Commissioners.

But that oversight changed last year, when the County Board established an independent

governing board for the Health System.

CCHHS Spokesman, Lucio Guerero, says it's Stroger's motives that warrant questioning, for trying to force unproven science on the board during an election year. He says there are 17 HIV research trials currently underway at CORE.

"I trust the doctors, the medical vetting of this, over any political gain," Guerero said. "It's not about fundraising, it's not about who's right and who's wrong. There's lives at stake."

Stroger says he's not giving up hope on persuading CORE to partner up with Geovax. Fox Chicago learned of a private meeting Wednesday on Geovax between a top aide to Stroger and a high-level CCHHS official. But the CEO of Geovax said he doesn't want to be at the center of a political power struggle, and that he's moving on to find another clinic, preferably in Chicago, for his company’s vaccine trials.

 

New HIV Strain Found In Cameroon Woman

Monday, August 3, 2009. A new strain of the virus that causes AIDS has been discovered in a woman from the African nation of Cameroon .

It differs from the three known strains of human immunodeficiency virus and appears to be closely related to a form of simian virus recently discovered in wild gorillas, researchers report in Monday's edition of the journal Nature Medicine.

The finding "highlights the continuing need to watch closely for the emergence for new HIV variants, particularly in western central Africa," said the researchers, led by Jean-Christophe Plantier of the University of Rouen in France.

The three previously known HIV strains are related to the simian virus that occurs in chimpanzees.

The most likely explanation for the new find is gorilla-to-human transmission, Plantier's team said. But, they added, they cannot rule out the possibility that the new strain started in chimpanzees and moved into gorillas and then humans, or moved directly from chimpanzees to both gorillas and humans.

The woman currently shows no signs of AIDS and remains untreated, though she still carries the virus, the researchers said. How widespread this strain is remains to be determined. Researchers said it could be circulating unnoticed in Cameroon or elsewhere. The virus's rapid replication indicates that it is adapted to human cells, the researchers reported.

-- Associated Press

 

First origin of malaria may have been found

By RANDOLPH E. SCHMID, AP Science Writer Randolph E. Schmid , Ap Science Writer Mon Aug 3, 5:00 pm ET

WASHINGTON – Scientists say they may have tracked down the origins of the deadly disease malaria — chimpanzees.

In recent years diseases like HIV-AIDS and Ebola have been traced to chimpanzees, and a study being released Tuesday shows that this is nothing new, according to Dr. Nathan D. Wolfe, an author of the report in Proceedings of the National Academy of Sciences.

"Malaria has been a human disease as long as history," Wolfe, of Stanford University and the Global Viral Forecasting Initiative, said in a telephone interview.

"It is now clear that a new disease that successfully jumps from an animal to a human can last not just for decades, but millennia or more," Wolfe said. "This makes the task of stopping future disease spillovers from animals to humans vital, not only for saving lives today, but for the health of people for many generations to come."

According to the U.S. Centers for Disease Control and Prevention, each year more than a million people, mostly children, die of malaria worldwide.

Malaria is caused by a parasite, Plasmodium falciparum, which is transmitted from person to person via mosquitoes.

It was known that chimpanzees could harbor a related parasite, Plasmodium reichenowi. The researchers, led by Wolfe and Francisco Ayala of the University of California , Irvine , studied chimps in Cameroon and Ivory Coast and found it is more common than had been thought.

Conventional wisdom had been that the two parasites diverged from a common origin, Wolfe said, but a comparison of the two indicates that the human version more likely developed from the chimpanzee type.

"We now know that malaria, while at least thousands of years old, did not originate in humans but rather was introduced into our species, presumably by the bite of a mosquito that had previously fed on a chimpanzee."

Now, Wolfe said, the goal is to learn more about the chimp parasites and try to figure out how they spread to people.

The researchers said the shift of the malaria parasite to humans could have taken place as long as 2 million to 3 million years ago, or as recently as 10,000 years ago.

A better understanding of these chimp parasites might lead to improved treatments for malaria or even development of a vaccine, Wolfe said, noting early smallpox vaccines were developed from the related cowpox.

The research was funded by the National Institutes of Health, Tufts University and the National Geographic Society.

 

Merck head of vaccines, infectious disease leaving

Mon Aug 3, 2:03 pm ET

WHITEHOUSE STATION, N.J. – Merck & Co.'s head of vaccines, Margaret G. McGlynn, is retiring effective Nov. 1, the drugmaker said Monday.

McGlynn, 49, has been president of Merck's vaccines division since 2005 and, more recently, Merck Vaccines and Infectious Diseases. Previously, she served as head of U.S. Human Health, the company's marketing operation.

"She decided that now was a good time to pursue many personal and professional aspirations," Merck spokeswoman Amy Rose said.

Rose said no replacement has been named yet for McGlynn, who joined the company 26 years ago.

McGlynn helped oversee a surge in new vaccine approvals the last few years that made the division increasingly important financially to Merck. Those included the blockbuster Gardasil, the first vaccine to prevent cervical and other sexually transmitted cancers, and RotaTeq for rotavirus. Merck's HIV drug Isentress also was approved during her tenure.

However, the division has been plagued by manufacturing deficiencies cited by the Food and Drug Administration, some dating back to spring 2007, that have reduced sales significantly.

Vaccines against Haemophilus influenza type B, shingles and a combination one against measles, mumps, rubella and chickenpox called ProQuad either were recalled or production was halted for long stretches. Zostavax, the shingles vaccine, just resumed normal shipments in June, and ProQuad is still not available, although Merck settles other vaccines that separately protect against the four childhood illnesses, Merck noted in a regulatory filing Monday.

Until November, McGlynn will continue to lead the business and keep her other leadership positions, the company said. That includes helping plan for Merck's $41.1 billion acquisition of partner drugmaker Schering-Plough Corp. of Kenilworth , N.J.

 

Scientists decode HIV genome structure: study

Thu Aug 6, 8:30 am ET

PARIS (AFP) – Scientists in the United States have decoded the overall structure of the HIV virus genome that causes AIDS in humans, according to a study published Thursday.

The breakthrough should help develop strategies for combating the virus with new anti-viral drugs, the researchers said.

"We are beginning to understand tricks the genome uses to help the virus escape detection by the human host," said Kevin Weeks, a professor at the University of North Carolina at Chapel Hill and the study's main architect.

Like the viruses that cause influenza and hepatitis C, HIV carries its genetic information in single-strand RNA rather than the double strand DNA found in all living organisms and certain viruses.

This make is more difficult to decode because, unlike DNA, RNA is able to fold itself into intricate, three-dimensional patterns.

Earlier studies have succeeded in modeling small regions of the HIV genome, which consists of two strands each containing nearly 10,000 nucleotides, the basic molecular building blocks of both DNA and RNA.

Using a new technique, Weeks and colleagues produced images which, while lower in resolution, spanned a much larger area.

The study, published in the British journal Nature, should help scientists discover ways in which the RNA genome determines the lifecycle of the HIV virus.

"One approach is to change the RNA sequence and see if the virus notices," said Ronald Swanstrom, a microbiologist at UNC and a co-author of the study.

"If it doesn't grow as well when you disrupt the virus with mutations, then you know you've mutated or affected something that was important to the virus," he said in a statement.

Hashim Al-Hashimi of the University of Michigan , also writing in Nature, said in a commentary that the study was a "considerable achievement" in so far as it provided an "aerial view" of the genome's overall structure.

"Structural biologists can now use this genomic map to judiciously zoom in on pieces of the HIV-1 genome and determine architectural and functional principles at the atomic level," he said.

AIDS first came to public notice in 1981, when alert US doctors noted an unusual cluster of deaths among young homosexuals in California and New York .

It has since killed at least 25 million people, and 33 million others are living with the disease or the HIV virus, which destroys immune cells and exposes the body to opportunistic disease.

 

Scientists find cannabis trigger for forgetfulness

by Marlowe Hood Marlowe Hood Sun Aug 2, 11:19 pm ET

A young man smokes cannabis in Santiago. Researchers said they ...PARIS (AFP) – Researchers said they had pinpointed the biochemical pathway by which cannabis causes memory loss in mice.

The discovery could help open the way to drugs that have marijuana's desired pain-killing properties but without its amnesic side effects, according to the paper, published in the journal Nature Neuroscience.

It has long been known that cannabis produces memory loss by acting on the hippocampus, the region in the brain that governs most of our cognitive functions.

But whether that impact was long-term or lasted only during the drug's use, as well as how the drug acted biochemically, has been intensely debated.

Rafael Maldonado and and Andres Ozaita at Pompeu Fabra University in Barcelona believe they can help answer both questions.

The scientists first created a new measure of cognitive impairment so that they could easily assess the impact of cannabis use on memory in normal mice.

Marijuana's active ingredient, THC, acts on cannabinoid receptor neurons called CB1. While found in several locations within the brain, there are two concentrations of CB1-type cells in the hippocampus.

To explore how each of these neural networks might affect memory loss, the researchers created two groups of genetically modified mice, each missing the CB1 receptors in either of the two regions.

The rodents were then injected with doses of THC equivalent to "heavy use" of marijuana in humans.

One of the groups reacted in the well-known forgetful fashion when required to do memory tests.

The other mouse group -- whose CB1 had been removed from the so-called GABAergic neurons -- was unaffected by the drug.

"Not only were the behavioural effects abolished, the biochemical responses that are directly responsible for the amnesic-like effect were abolished too," Maldonado said in a phone interview.

This should make it possible to develop a molecule that will produce cannabis' positive effect without affecting the GABAergic brain cells that govern memory, he said by phone.

The research also showed that administering cannabis leads to a change in the way that proteins are manufactured in the affected part of the brain.

"This is crucial, because a change in protein synthesis means a long-term change, this is not something that will just disappear the next day," he said.

Just how long memory might be degraded is unknown, he added.

"These are not permanent changes, even if they are long-term. People who are using cannabis therapeutically should not be worried," he said.

Maldonado refused to give an opinion about the impact for recreational users of marijuana, though.

Despite its ambiguous legal status, marijuana is used in several countries, especially the United States , as an analgesic for patients with cancer, glaucoma, HIV/AIDS and other conditions causing pain or discomfort.

Unlike illegal marijuana, so-called medical marijuana comes from an identified source in which levels of THC are known and monitored.

 


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